The Association between the Subjective Perception of the Regional Healthcare Environment and Unmet Medical Needs

지역의 의료서비스 환경에 대한 주관적 인식과 연간 미충족의료 발생 간의 연관성

  • Seohyun Woo (Department of Health Administration and Management, Soonchunhyang University, College of Medical Science) ;
  • Hyun Woo Moon (Department of Health Administration and Management, Soonchunhyang University, College of Medical Science) ;
  • Yeong jun Lee (Department of Health Administration and Management, Soonchunhyang University, College of Medical Science) ;
  • Sun jung Kim (Department of Health Administration and Management, Soonchunhyang University, College of Medical Science)
  • 우서현 (순천향대학교 보건행정경영학과) ;
  • 문현우 (순천향대학교 보건행정경영학과) ;
  • 이영준 (순천향대학교 보건행정경영학과) ;
  • 김선정 (순천향대학교 보건행정경영학과)
  • Received : 2023.06.27
  • Accepted : 2023.12.25
  • Published : 2023.12.30

Abstract

Based on the basic ideology of health care, this study realized the seriousness of annual unmet medical need and conducted a study to confirm the relationship between the subjective perception of regional healthcare environment and unmet medical needs. The independent variable was classified into attitude 'satisfaction' and 'unsatisfaction' toward regional healthcare, and the dependent variable was classified as whether unmet medical needs occurred annually. Based on previous studies, the control variables were selected as demographic and socioeconomic characteristics that can affect the occurrence of unmet medical care annually and characteristics related to health behavior. Descriptive statistics were conducted for each variable on the extracted sample, and multivariate survey logistic regression analysis was conducted to confirm the association between variables. As a result, more unmet medical needs occurred annually than those who were satisfied with the medical services in the area where they lived. In addition, more unmet medical need occurred annually in "unsatisfied" households compared to households "satisfied" with local medical services. In residential areas, women live in "metropolis" and "rural areas" compared to "urban," women live in men, lower education levels, and poor subjective health levels, and less satisfied with local medical services. As such, the impact of environmental factors in the community on the use of health and medical services is one of the major areas of interest in the field of health science, such as health policy and social dynamics. Therefore, hospitals in each region need to make efforts in terms of hospital management to increase the overall satisfaction of medical services in the region by continuously monitoring the attitude of residents to achieve universal health security, and policymakers should also be interested and propose new policies.

Keywords

Acknowledgement

이 연구는 순천향대학교 학술연구비 지원으로 수행하였음.

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